Can I breastfeed after breast surgery? via lactationlink.com

Hi mamas, I’m Stephanie Weight Hadfield, an International Board Certified Lactation Consultant (IBCLC) and mom of 4. I’m here today to talk about breastfeeding after breast surgery. Enjoy!

This has been such a common question recently on our mother’s support forum on instagram.  Most people automatically assume that it isn’t possible to breastfeed after having had breast surgery, but many mothers who have had breast surgery are able to go on and have an enjoyable and fulfilling breastfeeding relationship with their babies. Diana West IBCLC, author of Defining Your Own Success: Breastfeeding After Breast Reduction Surgery, believes that breastfeeding is possible if three factors are present:

  1. At least one breast and one nipple
  2. Information 
  3. Support

The question here isn’t if you’ll be able to make milk, but how much you’ll be able to make. Most women who have had breast surgery are able to make at least some milk for their babies, if not a full supply. Let’s first discuss factors that may affect milk production. Then we’ll cover some practical things you can do to give yourself the best start possible, as well as how you can have a breastfeeding relationship with your baby even if you’re not able to make all the milk your baby needs.

surgery

 

In this post, I will be discussing the factors that influence breastfeeding after breast surgery and how to prepare to breastfeed.

  • Contributing factors
    • Where your scars are
    • When your surgery took place
  • How to prepare to breastfeed after breast surgery
    • Prenatal education
    • Consider one-on-one support with an IBCLC
    • Tips on choosing a supportive healthcare provider
    • Learn about at-the-breast supplementation

Can I breastfeed after breast surgery? via lactationlink.com

Contributing factors to breastfeeding success after breast surgery

First, consider where your scars are. Incisions around the areola (that darker skin around your nipple)  are more likely to interfere with milk ducts and nerves critical to lactation than incisions in the fold under the breast, in the armpit, or the navel. If a portion of milk-making glands are removed, your potential milk volume will probably be affected. Because of this, breast reduction is more likely to cause supply problems than breast augmentation. By the same token, if only one breast was affected by surgery, usually a breast biopsy or lumpectomy, full milk production is more likely.

Next, consider how long ago your surgery took place. Nerves can regenerate slowly over time. So, the more years that have passed since the surgery, the better chances you have for necessary nerve response, even if important nerves were severed. If you can feel both touch and temperature on your areola and nipple you are more likely to have the intact nerve pathways necessary for a normal milk ejection reflex.

Milk ducts, the supply lines of the breast, can regenerate too, and they do it fastest in response to pregnancy and breastfeeding. Many moms who had partial supplies with their first babies may find that they get progressively more milk with each subsequent baby, sometimes even a full supply.

There’s really no way to know exactly how breast surgery has affected your milk-making capacity until baby is born and your breasts get a chance to start doing their job. It’s important to remember that there is great value in any amount of milk you are able to provide for your baby. Babies can receive some immune protection and nutritional benefit from even small amounts of their mother’s’ milk. The benefits of the milk itself aside, breastfeeding is much more than just another way to get food into a baby. It’s also about a physical and emotional connection between mother and child. It is definitely worth working for, and any mother who chooses to should be supported in her goal.

Can I breastfeed after breast surgery? via lactationlink.com

So, what can you do to prepare yourself for breastfeeding after breast surgery? Here’s my advice:

  1. Learn as much as you can about normal breastfeeding, especially how to position your baby effectively to get a deep, comfortable latch, and the signs of good milk intake. Lactation Link’s Breastfeeding Basics course is a fantastic option for moms anywhere in the world. It’s more comprehensive and easy to understand than your typical local hospital breastfeeding course, and you can re-watch it as many times as you need.
  2. Consider scheduling a prenatal e-consult with one of Lactation Link’s International Board Certified Lactation Consultants to go over your health and surgery history and work together to create a plan to monitor and protect baby’s growth and maximize your milk supply. Learn more here.
  3. Choose healthcare providers for both yourself and your baby who are knowledgeable about breastfeeding, not just tolerant of it. Ask around for referrals and interview a few to find providers that will be a good fit for your family. This post, How to Choose a Healthcare Provider for Your Baby, is a great place to get some tips on this as well.
  4. Learn about at-breast supplementation. There are special supplementing devices that consist of bottles with long thin tubes that baby can latch onto along with your nipple so that he or she can be supplemented while breastfeeding if more milk is needed than you are able to produce. Think of it as an external, bonus milk duct system. These devices can be a fantastic way to preserve the benefits of the breastfeeding relationship while ensuring that your baby is receiving the nutrition he or she needs to grow well. Some mothers really love them, and others…not so much. There definitely seems to be a learning curve for using at-breast supplementers. While they can be helpful, they aren’t the only option for supplementation. Lactation Link IBCLCs can help you find the best solution for supplementation through an in-person consultation or online eConsult

Can I breastfeed after breast surgery? via lactationlink.com

Breastfeeding after breast surgery sometimes requires an adjustment of expectations. There will be many options for working through the challenges the come your way, and YOU are the one who gets to decide what works for your family. Give yourself space to celebrate your commitment to giving your baby the best start possible in life and all the work you put into that goal. And remember, your love for your baby can’t be measured in ounces or milliliters. It’s way too big for that.

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Thanks for stopping by,

Get in-person or online help with breastfeeding.

Stephanie Weight Hadfield, BS, IBCLC

Sources:

West, D. & Marasco, L. (2009). The breastfeeding mother’s guide to making more milk. New York: McGraw Hill.

West, D. (2001). Defining your own success: Breastfeeding after breast reduction surgery.  Schaumburg, IL: La Leche League International, 2001